| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,194.72 | $3,666.78 | $7,119.04 | |
Hally Health
| Professional | $594.86 | $856.26 | $3,267.20 | |
Medica
| Facility | $752.74 | $1,369.47 | $5,163.00 | |
Midlands
| Facility | $1,104.64 | $1,471.64 | $1,865.65 | |
United
| Facility | $3,044.00 | $5,023.00 | $7,305.00 |